JULIE ELISABETH MARTIN (NPI# 1164937736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164937736 |
| Entity Type | Individual |
| Full Name | JULIE ELISABETH MARTIN |
| Credential | CPNP |
| Practice Address |
5019 Portico Way Midland TX 79707-3102 |
| Mailing Address |
4902 North County Road 1152 Midland TX 79705 |
| Practice Telephone | 4322420540 |
| Practice Fax Number | 4322420541 |
| Mailing Telephone | 9729219568 |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP135967 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790328748 | Julie Kathleen Martin | Counselor | 32382 Del Obispo St Ste B3, San Juan Capistrano, CA 92675-4029 | 2019-10-22 |
| 1700435112 | Julie Irene Martin | Massage Therapist | 1516 Litiz Pike, Lancaster, PA 17601-6506 | 2019-09-09 |
| 1073886768 | Julie Christine Martin | Music Therapist | 3247 38th Way S Apt B, St Petersburg, FL 33711-3977 | 2012-02-11 |
| 1932478765 | Julie Elizabeth Martin | Nurse Practitioner | 225 E Chicago, 4 Ne, Chicago, IL 60611-2605 | 2011-12-22 |
| 1710118195 | Julie Lynnette Martin | Counselor | 903 Northeast Drive, Suite 101, Davidson, NC 28036-7437 | 2009-08-03 |
| 1497980106 | Julie Martin | Speech-Language Pathologist | 16w361 S Frontage Rd, Ste 131, Burr Ridge, IL 60527-5830 | 2009-05-26 |
| 1205060357 | Julie Ann Martin | Pharmacist | 1079 Market St, Warren, PA 16365-1269 | 2009-05-04 |
| 1730373523 | Julie A Martin | Counselor | 995 Cowen Dr Unit 203, Carbondale, CO 81623-1657 | 2007-09-05 |
| 1376658708 | Julie Martin | Nurse Practitioner | 100 Woods Rd., Valhalla, NY 10595 | 2006-08-19 |
| 1003313529 | Julie Marie Martin | Dietitian, Registered | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2018-04-11 |
| Street Address |
5019 PORTICO WAY |
| City | MIDLAND |
| State | TX |
| Zip Code | 79707-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114467644 | Kimberly Dodd | Nurse Practitioner | 5019 Portico Way, Midland, TX 79707-3102 | 2017-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861164 | Daniel & Max, LLC | Optometrist | 3110 N Loop 250 W, Suite 200, Midland, TX 79707 | 2020-11-02 |
| 1396196036 | Endurance Inc | Pharmacy | 4906 Briarwood, Midland, TX 79707 | 2016-06-23 |
| 1841683356 | Carson Riley Phillips | Dentist | 4425 W Wadley Ave Ste 100, Midland, TX 79707 | 2015-03-07 |
| 1336538610 | Permian Basin Er II | Clinic/Center | 3201 N. Midland Drive, Ste 130, Midland, TX 79707 | 2015-01-09 |
| 1659776342 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5315 Briarwood Ave, Midland, TX 79707 | 2014-10-24 |
| 1982958799 | Tara Rae Nagel | Nurse Practitioner | 4214 Mamies Cir, Midland Pediatric Associates, Midland, TX 79707 | 2012-10-31 |
| 1336432046 | Ashley Thrasher Bell | Physician Assistant | 3600 N Garfield, Ttuhsc Pa Program, Midland, TX 79707 | 2011-05-27 |
| 1053626622 | Jerry Milton Lyon | Nurse Practitioner | 5000 Briarwood Ave Ste 203, Midland, TX 79707 | 2010-08-08 |
| 1053645838 | Marta Willoughby Md Pa | Clinic/Center | 3423 Caldera, Midland, TX 79707 | 2009-09-25 |
| 1326251950 | Bonnie Lloyd Clemmer | Registered Nurse | 3600 W Loop 250 North, Apt 1083, Midland, TX 79707 | 2007-05-08 |
| Find all providers in zip 79707 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982958799 | Tara Rae Nagel | Nurse Practitioner | 4214 Mamies Cir, Midland Pediatric Associates, Midland, TX 79707 | 2012-10-31 |
| 1891931341 | Tonya D Murphy | Nurse Practitioner | 4214 Andrews Hwy Ste 310, Midland, TX 79703-4822 | 2009-01-05 |
| 1275047896 | Lauren Rocha | Nurse Practitioner | 4214 Mamies Cir, Midland, TX 79707-2123 | 2017-11-17 |
| 1427568617 | Carena Nicole Sears | Nurse Practitioner | 307 N M St, Midland, TX 79701-6554 | 2017-10-03 |
| 1881069995 | Briarwood Clinic, LLC | Nurse Practitioner | 5000 Briarwood Ave, Suite 203, Midland, TX 79707-2753 | 2015-12-01 |
| 1578949202 | Melissa Bowman | Nurse Practitioner | 4214 Mamies Cir, Midland, TX 79707-2123 | 2015-08-04 |
| 1215318092 | Marlena Flores I | Nurse Practitioner | 1900 W Wall St, Suite A, Midland, TX 79701-6527 | 2015-06-17 |
| 1316290141 | Diana Culp | Nurse Practitioner | 2409 W Illinois Ave, Suite D, Midland, TX 79701-6307 | 2012-10-17 |
| 1306198270 | Jessica Nicole Salas | Nurse Practitioner | 5000 Briarwood Ave, Suite 203, Midland, TX 79707-2753 | 2012-10-02 |
| 1033347786 | Jennifer Yeager | Nurse Practitioner | 5801 W Wadley Ave, Midland, TX 79707-5055 | 2009-07-01 |
| Find all providers in MIDLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.